Individual provider Active NPI

Ryan M Thomas, DC, FACO

  • Orthopedic Chiropractor
  • Gresham, OR
National Provider Identifier
1760429732
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
27-3110 Issued in OR
Practice address
329 NE Hood Ave
Gresham, OR 97030-7449
Phone
(503) 491-0388
NPI assigned
May 31, 2006
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 27-3110 OR Primary
Orthopedic Chiropractor 111NX0800X 4394 CO
Orthopedic Chiropractor 111NX0800X 7912009-1202 UT

Addresses

Primary practice location

329 NE Hood Ave
Gresham, OR 97030-7449

Mailing address

13203 SE 172ND Ave
Suite 166 Box 280
Happy Valley, OR 97086-8737
Phone (503) 491-0388

Other identifiers 1

IdentifierTypeStateIssuer
202562300OtherORU.S. DEPT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4394COMDOrthopedic Chiropractor
27-3110ORMDOrthopedic Chiropractor
7912009-1202UTMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Chiropractic Clinic Orthopedic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1760429732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 SE 172ND AVE",
            "address_2": "SUITE 166 BOX 280",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970868737",
            "telephone_number": "503-491-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NE HOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307449",
            "telephone_number": "503-491-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC, FACO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "27-3110",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CO",
            "license": "4394",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "7912009-1202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPT OF LABOR",
            "identifier": "202562300",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.